Tonsillitis

What is tonsillitis? Everything you need to know about its symptoms and the best treatment for inflamed tonsils with pus-filled patches.

Symptoms and Causes

Tonsillitis, commonly known as a "sore throat," is the inflammation of the tonsils, which are clusters of lymphoid tissue located on both sides of the throat. They act as the body’s first line of defense, especially in children.

Depending on how it manifests, tonsillitis can be classified into three types:

  • Acute tonsillitis: Very common among children and teenagers. It occurs suddenly and resolves a few days after symptoms begin.
  • Recurrent tonsillitis: Usually caused by a streptococcal infection that the body does not effectively combat. Recurrent acute tonsillitis is diagnosed if it occurs more than seven times in one year, more than five times per year for two years, or more than three times per year for three years.
  • Chronic tonsillitis: Less common, it involves a persistent infection with intermittent symptoms lasting at least six months. Long-term inflammation of the tonsils can lead to more severe conditions.

The medical community recommends monitoring the condition and identifying its cause, as each type of tonsillitis requires a different treatment.

Symptoms

The most common symptoms of tonsillitis include:

  • Swollen, red tonsils
  • Pus on the tonsils (yellow or white patches)
  • Sore throat and difficulty swallowing
  • Swollen lymph nodes, especially in the neck
  • Fever
  • Stomach pain
  • Halitosis (bad breath)

Causes

Tonsillitis can have different causes. Based on the origin of the infection, this condition can be classified into two types:

  • Viral tonsillitis: Caused by a viral infection. Symptoms are usually mild, and the condition resolves on its own within a few days.
  • Bacterial tonsillitis: Caused by a bacterial infection, most commonly streptococcal tonsillitis. It requires medication, and symptoms tend to be more severe and last longer than viral tonsillitis.

Risk Factors

Several factors increase the risk of developing tonsillitis. The most significant include:

  • Age: Children between the ages of five and fifteen are more susceptible to the condition.
  • Exposure to germs, viruses, and bacteria.
  • Sudden temperature changes.
  • Weakened immune system.

Complications

Although uncommon, tonsillitis can lead to complications such as:

  • Interrupted breathing during sleep.
  • Spread of infection to surrounding tissues.
  • Difficulty breathing.
  • Sinusitis.
  • Otitis (ear infection).

Prevention

The best way to prevent tonsillitis is to avoid contact with infected individuals, refrain from sharing utensils that come into contact with the mouth, and wash hands thoroughly before eating and after using the restroom.

Which Doctor Treats Tonsillitis?

Otolaryngologists, pediatricians, and general practitioners diagnose and treat tonsillitis.

Diagnosis

Tonsillitis is usually easy to diagnose. In most cases, a doctor can determine the condition by analyzing the symptoms, examining the throat, and feeling the lymph nodes.

In some cases, a throat swab test is performed to identify the type of bacteria responsible for the infection.

Treatment

For viral tonsillitis, treatment focuses only on relieving symptoms if they are severe. Doctors typically recommend rest, increased fluid intake, and medications to reduce fever and inflammation.

In cases of bacterial tonsillitis, antibiotics are necessary.

Recurrent tonsillitis requires an in-depth medical evaluation. If the condition occurs frequently and significantly affects daily life, a tonsillectomy may be recommended. This surgical procedure involves removing the tonsils through the mouth under general anesthesia.